Absolute Surgical Assistants
Specialist/Technologist, Other, Surgical Assistant in Marietta, GA. Organization (NPI-2).
NPI number1396105904
StatusActive
Last updated in NPPESFeb 25, 2016
Details
- NPI
- 1396105904
- Entity type
- Organization (NPI-2)
- Legal business name
- Absolute Surgical Assistants
- Organization subpart
- No
- Enumeration date
- Feb 25, 2016
- Last updated
- Feb 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | – | – | Yes |
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | RN195446 | GA | |
| 363AS0400X | Physician Assistant, Surgical | – | – |
Practice location
4653 Pond LnMarietta, GA 30062-5618
Phone 770-330-5549
Mailing address
4653 Pond LnMarietta, GA 30062-5618
Authorized official
Michelle Larue
Ceo
7703305549
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